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"Anak pasca bedah mengalami peningkatan risiko terpapar mikroorganisme penyebab infeksi. Karya ilmiah akhir ini bertujuan memberikan gambaran aplikasi Model Konservasi Levine pada asuhan keperawatan anak pasca bedah dengan risiko infeksi, pencapaian kompetensi baik sebagai pemberi asuhan, advocator, counselor, educator, colaborator dan agen perubah selama praktik residensi. Terdapat lima kasus kelolaan yang menjadi pembahasan dalam Karya ilmiah akhir ini. Pada lima kasus kelolaan tersebut ditemukan adanya trophicognosis risiko infeksi sampai dengan sepsis. Hipotesis yang diberikan berdasarkan prinsip-prinsip konservasi. Hasil secara umum aplikasi model konservasi Levine kepada lima kasus terpilih adalah baik, sehingga diharapkan seorang ners spesialis keperawatan anak selalu mengembangkan kemampuan dalam meningkatkan kompetensinya.

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Children at increased risk of postoperative exposure to microorganisms that causes them infections. Final Scientific aims to give an overview on the Levine Conservation Model application nursing child with the risk of postoperative infection, the achievement of competency as both a caregiver, advocator, counselor, educator, colaborator and agent of change for practice residency. There are five cases to be managed in the discussions in the Final Scientific Works. In these five cases were found the trophicognosis managed the risk of infection to sepsis. Hypotheses were based on the principles of conservation. The results generally Levine conservation model application to the five cases selected were good, so expect a nurse specialist nursing child always develops the ability to improve their competence. "

"Pasien yang dilakukan pembedahan hampir seluruhnya mengalami nyeri. Nyeri yang dialami oleh pasien pasca pembedahan dapat mempengaruhi kestabilan hemodinamik dan dapat menurunkan imunitas tubuh sehingga mengganggu proses penyembuhan. Tujuan dari karya akhir ilmiah ini adalah untuk memberikan gambaran penerapan teori keperawatan Comfort Kolcaba dan pendekatan Family Centered Care dalam mengatasi nyeri pada anak pasca pembedahan laparatomi. Penerapan teori comfort dalam melakukan asuhan keperawatan pada pasien pasca pembedahan dapat meningkatkan kepuasan keluarga dan efektif menurunkan nyeri pada pasien nyeri yang dipengaruhi faktor kecemasan. Aplikasi teori comfort yang ada belum menggunakan ceklist comfort karena perawatan difokuskan pada masalah nyeri sehingga evaluasi yang dipilih menggunakan skala nyeri FLACC dan VAS. Teori comfort dapat diaplikasikan terutama pada pasien yang mengalami nyeri ringan dan pasien dengan peningkatan skala nyeri yang dipengaruhi kecemasan.

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Patients who undergo surgery almost entirely feel pain. Pain experienced by patients after surgery could affect the stability of hemodynamic and decrease the body's immunity which can interrupt the healing process. The purpose of this study is to provide an overview of the application of nursing theory Comfort Kolcaba and Family Centered Care approach in dealing with post-surgical pain in children laparotomy. The application of the comfort theory in performing nursing care to patients after surgery can improve family satisfaction and effectively reduce pain in patients which influenced by anxiety. Recently, the application of comfort theory has not been implementing of an evaluation using a checklist comfort because the treatment is focused on the problem so that the evaluation of selected pain using the VAS pain scale and FLACC. Comfort theory can be applied, especially in patients with mild pain and increase pain scale which influenced by anxiety."

"Karya Ilmiah Akhir ini memaparkan kegiatan praktik residensi spesialis keperawatan anak, mencakup pemberian asuhan keperawatan dan pencapaian kompetensi. Penerapan asuhan keperawatan berfokus pada perawatan anak dengan klien yang terpasang kolostomi. Masalah yang paling sering terjadi adalah risiko kerusakan integritas kulit. Masalah risiko kerusakan integritas kulit adalah berisiko mengalami perubahan kulit yang buruk. Aplikasi Model Adaptasi Roy dapat menyelesaikan masalah klien dengan risiko kerusakan integritas kulit untuk mencapai respon yang adaptif. Keberhasilan asuhan keperawatan ditunjang oleh kompetensi perawat anak melalui berbagai perannya, yaitu sebagai pemberi pelayanan, pendidik, manager, serta peneliti. Pelaksanaan asuhan keperawatan dengan pendekatan Model Adaptasi Roy diharapkan dapat diaplikasikan secara komprehensif dalam mengatasi masalah klien dengan kasus bedah dengan pendekatan konsep family centered care.

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The final Scientific paper describes activities specialist nursing practice residency of pediatric, includes the provision of nursing care and the achievement of competence. Application of nursing care focuses on treatment clients of children with colostomy bag attached. The most common problem is the risk of impairment to skin integrity. The risk of impairment to skin integrity problems are at risk of a bad skin changes. Roy Adaptation Model application can resolve the issue with the client's risk of damage to skin integrity to achieve the adaptive response. The success of nursing care supported by pediatric nurse competencies through a variety of roles, namely as service providers, educators, managers, and researchers. Implementation of nursing care by Roy Adaptation Model approach is expected to be applied comprehensively to address client issues with surgical cases involving the family as the embodiment of the concept of family centered care."

"[ABSTRAKKecemasan merupakan hal yang sering dilaporkan ketika anak dihadapkan pada prosesoperasi. Penelitian ini bertujuan mengidentifikasi dampak penggunaan buku ceritabergambar terhadap kecemasan sebelum operasi. Design Penelitian adalah quasieksperiment:Post test-only non equivalen control group. Sampel penelitian adalah 34anak usia sekolah yang akan menjalani operasi, dipilih dengan teknik Consecutivesampling. Kelompok intervensi diberikan informasi dengan buku cerita bergambar dankelompok kontrol mendapatkan informasi rutin rumah sakit. Hasil penelitianmenunjukan anak yang mendapatkan persiapan dengan buku cerita bergambarmengalami kecemasan sebelum operasi lebih rendah (p=0,003). Penelitian inimerekomendasikan pemberian informasi dengan buku cerita bergambar sebagai salahsatu intervensi persiapan operasi

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ABSTRACTAnxiety is often reported among preoperative children. This study aimed to identify theimpact of story book on preoperative anxiety among school-age children. Researchdesign was quasi experiment: Post test -only non equivalent control group toward 34which were selected with consecutive sampling technique. Children on interventiongroup were prepared with pictured story book, while children on control group wereprepared with hospital routine information. The result showed that children whoseprepared with pictured story book experienced less preoperative anxiety (p=0,003). Thisresearch recommends pictured story book as one of interventions for preoperativepreparation;Anxiety is often reported among preoperative children. This study aimed to identify theimpact of story book on preoperative anxiety among school-age children. Researchdesign was quasi experiment: Post test -only non equivalent control group toward 34which were selected with consecutive sampling technique. Children on interventiongroup were prepared with pictured story book, while children on control group wereprepared with hospital routine information. The result showed that children whoseprepared with pictured story book experienced less preoperative anxiety (p=0,003). Thisresearch recommends pictured story book as one of interventions for preoperativepreparation., Anxiety is often reported among preoperative children. This study aimed to identify theimpact of story book on preoperative anxiety among school-age children. Researchdesign was quasi experiment: Post test -only non equivalent control group toward 34which were selected with consecutive sampling technique. Children on interventiongroup were prepared with pictured story book, while children on control group wereprepared with hospital routine information. The result showed that children whoseprepared with pictured story book experienced less preoperative anxiety (p=0,003). Thisresearch recommends pictured story book as one of interventions for preoperativepreparation.]"

"Mencuci tangan dapat dilalcukan oleh anak yaitu sebelum dan sesudah beraktifitas sebagai upaya pencegahan dan pengendalian infeksi di rumah sakit. Penelitian ini bertujuan unhrk mengidentifikasi efektivitas permainan terapeutik: Cuci tangan dengan flannelgrapft kombinasi demonstrasi terhadap ketepatan anak dalam mencuci tangan. Desain pada penelitian ini menggunakan quasi elcsperiment: post test-only non equivalent control group terhadap 96 anak usia 3-12 tahun yang dibagi menjadi kelompbk intervensi dan kontrol dengan consecutive sampling. Hasil penelitian menunjulJcan bermain terapeutik: cuci tangan menggunakan flannelgraph kombinasi demonstrasi efektif terhadap ketepatan anak mencuci tangan (p < 0,001). Hasil penelitian dapat diaplikasikan sebagai intervensi berrnain terapeutik di rumah sakit.

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Hand washing activitity can be done by children before and after the children do activities as an effort in the prevention and control of infections in hospitals. This study aims to identifu the effectiveness of therapeutic play: Handwashing with flannelgraph combination of demonstrations toward the accuracy of children in hand washing . The design of this research uses a quasi experiment: post-test-only non equivalent control group towards 96 aged 3-12 who were divided into the intervention group and the control goup with consecutive sampling. The results showed that the therapeutic play: Handwashing with flannelgraph combination demonstration is effective toward the children accuracy of hand washing (p <0.001). The results of this study can be applied as an interventions of therapeutic play in hospitals."

"ABSTRAKPemasangan infus adalah prosedur yang sering dilakukan di rumah sakit. Komplikasi yang sering terjadi pada pemasangan infus adalah flebitis. Salah satu faktor yang mempengaruhi terjadinya flebitis adalah karena fiksasi yang tidak tepat. Penelitian ini bertujuan untuk melihat efektifitas model fiksasi U terhadap komplikasi pemasangan infus. Penelitian ini menggunakan quasi experimental dengan rancangan post test only non equivalent group design dengan jumlah sampel sebanyak 32 responden. Hasil penelitian menunjukan model U efektif untuk mengurangi kejadian flebitis pada anak (p<0,05). Penelitian ini merekomendasikan penggunaan model fiksasi U untuk mencegah kejadian flebitis.

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ABSTRACTPeripheral intravenous insertion is the most commonly performed procedures in hospital. One factor that influences the occurrence of phlebitis is improper fixation. This study aimed to clarify the effectiveness of U model fixation to the occurrence of complications. This study used a quasi experimental design with post test only non equivalent group design. The sample was 32 respondents which were collected with consecutive sampling technique. The result showed that U model fixation was effective for reducing the incidence of phlebitis among children (p<0.05). This research recommends U model fixation to be used for intravenous catheter fixation."